Heart & Lung: The Journal of Acute and Critical Care
Volume 40, Issue 4 , Pages 352-357, July 2011

Multiple mycotic aneurysms reveal Staphylococcus lugdunensis endocarditis in a young patient

  • Asmaa Tamdy, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • These authors contributed equally to this article.
    • Corresponding Author InformationCorresponding author: Asmaa Tamdy, MD, Faculty of Medicine and Pharmacy, Department of Cardiology B, University Hospital Center IBN SINA, University Mouhamed V, Rabat 10000, Morocco.
    • ,
  • Fedoua El Louali, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • These authors contributed equally to this article.
    • ,
  • Manal Ounzar, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • ,
  • Hanane Fettouhi, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • ,
  • Hanane Hajkacem, MD

      Affiliations

    • Department of Radiology, University Mouhamed V, Rabat, Morocco
    • ,
  • Ibtissam Fellat, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • ,
  • Jamila Zarzur, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • ,
  • Leila Sbihi, MD

      Affiliations

    • Department of Radiology, University Mouhamed V, Rabat, Morocco
    • ,
  • Nawal Doghmi, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • ,
  • Latifa Oukerraj, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco
    • ,
  • Mouhamed Cherti, MD

      Affiliations

    • Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco

published online 05 August 2010.

Abstract 

Mycotic aneurysms are rare, and depending on their location, can threaten functional prognosis. We report on a 17-year-old girl with no previous history of cardiovascular or infectious disease, referred to our Department of Cardiology with right hemiplegia and aphasia. A neurological evaluation revealed thrombosis of a mycotic cerebral aneurysm, complicated by ischemic and hemorrhagic infarction. Transthoracic echocardiography indicated huge, highly mobile mitral vegetation associated with a mitral regurgitation with a triple stream. Hemocultures isolated Staphylococcus lugdunensis. Shortly afterward, she developed bilateral tibial and pedal mycotic aneurysm. The patient received antibiotics, with minor neurological improvement initially, but she soon died because of a brain herniation. Based on our findings in this case, we discuss the features of endocarditis attributable to S. lugdunensis.

Keywords: Mycotic aneurysm, Endocarditis, Staphylococcus lugdunensis

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PII: S0147-9563(10)00203-7

doi:10.1016/j.hrtlng.2010.05.048

Heart & Lung: The Journal of Acute and Critical Care
Volume 40, Issue 4 , Pages 352-357, July 2011

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